Individual
WENDY MUMFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
189 PUTNAM PIKE, FOSTER, RI 02825
(508) 330-1545
Mailing address
846 HARRIS AVE, WOONSOCKET, RI 02895-1827
(508) 330-1545
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
118900
MA
1041C0700X
Clinical Social Worker
Primary
ISW02561
RI
Other
Enumeration date
08/03/2015
Last updated
08/03/2015
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